| Regimental number | 4841 |
| Place of birth | Richmond Victoria |
| Religion | Presbyterian |
| Occupation | Newsagent |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Marian Elizabeth Jerrems, 1 Botherambo Street, Richmond, Victoria |
| Enlistment date | 23 January 1917 |
| Date of enlistment from Nominal Roll | 17 January 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |
